| NPI | 1205133915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETLIE ELIE Owner/Administrator 321-704-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11762) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2025-02-06 |